3.12 Contract Renewal Wage Works FSA0
Otkzo
MINNESOTA V
DEPARTMENT INFORMATION
Request for
City Council Action
ORIGINATING DEPARTMENT
REQUESTOR:
MEETING DATE:
Administration
Human Resources/Assistant City Admin. Hille
October 25, 2021
PRESENTER(s)
REVIEWED BY:
ITEM #:
Consent
City Administrator/Finance Director Flaherty
3.12 — Wage Works FSA
STRATEGIC VISION
MEETS:
THE CITY OF OTSEGO:
ARE YOU SEEKING APPROVAL OF A CONTRACT?
Is a strong organization that is committed to leading the community through innovative
communication.
Yes
Has proactively expanded infrastructure to responsibly provide core services.
BACKGROUND/JUSTIFICATION:
Is committed to delivery of quality emergency service responsive to community needs and
expectations in a cost-effective manner.
X
Is a social community with diverse housing, service options, and employment opportunities.
Is a distinctive, connected community known for its beauty and natural surroundings.
AGENDA ITEM DETAILS
RECOMMENDATION:
City staff recommends the City Council approve a contract with Wage Works for Flexible Spending Account
administration.
ARE YOU SEEKING APPROVAL OF A CONTRACT?
IS A PUBLIC HEARING REQUIRED?
Yes
No
BACKGROUND/JUSTIFICATION:
The City of Otsego offers a voluntary Flexible Spending Account (FSA) benefit. The City has contracted with
Wage Works for FSA administration, and City Staff is requesting a renewal of the contract to continue FSA
administration through Wage Works. This is used for employees to have the program administrator and
ensure compliance with FSA requirements.
SUPPORTING DOCUMENTS ATTACHED:
• Wage Works Contract
POSSIBLE MOTION
PLEASE WORD MOTION AS YOU WOULD LIKE ITTO APPEAR IN THE MINUTES:
Motion to approve renewal on Wage Works Flexible Spending Account administration.
BUDGET INFORMATION
FUNDING:
BUDGETED:
Fund 101 — General Fund
Yes
HealthEquity
Order Form
Employer:
City Of Otsego
13400 90th St. NE
Otsego, MN 55330
Effective Date*: 1/1/2022
Initial Term End Date: 12/31/2024
Services:
Payment Method: Wire / ACH Credit or Check
Payment Terms: Within 30 days of receipt of invoice
Service Charge on Overdue Amounts: 2% Per Month
Service Name
Fee Type
Fee
Description
FSA
Admin Fee
$7.00 PPPM
Per Participant Per Month
FSA
Monthly Minimum
$0.00
Monthly
Monthly Fee
$50.00
Compliance Fee
Implementation Fee
Implementation Fee
$0.00
Non -Discrimination
Additional Service
$0.00
Administrative fees are waived for initial
Testing - Initial
Fee
nondiscrimination testing. Ongoing nondiscrimination
testing session must be requested separately (fees may
apply).
Plan Documents -
Additional Service
$0.00
Administrative fees are waived for initial Plan Document
Initial
Fee
and Summary Plan Description (SPD) (while employer is
in implementation). Ongoing Plan Document and SPD
service must be requested separately.
Terms and Conditions.
This Order Form is subject to HQY's General Terms and Conditions of Service that may be viewed at
httns://resources.healtheouitv.com/Documents/Emlover/General Terms and Conditions All Accounts.pdf,
and all terms defined therein shall have the same meaning in this Order Form unless otherwise specified herein.
*This Order Form shall be effective as of 1/1/2022 (unless this Order Form is incomplete or does not match our
records). Billing shall commence upon start of Service(s) or next billing period following the effective date,
whichever is later.
Signature:
Name (print):
City Of Otsego
Page 1 - Document Generated October 11, 2021
HealthEquity-
Title:
Employer:
Date:
City Of Otsego
Page 2 - Document Generated October 11, 2021